Anthony Shabrack, PMHNP-BC | |
100 Freeman Dr, Saint Peter, MN 56082-3504 | |
(507) 985-2035 | |
Not Available |
Full Name | Anthony Shabrack |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 100 Freeman Dr, Saint Peter, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073214839 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 10053 (Minnesota) | Primary |
163WP0808X | Registered Nurse - Psychiatric/mental Health | 2005951 (Minnesota) | Secondary |
Entity Name | Family Innovations Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992862783 PECOS PAC ID: 6204178528 Enrollment ID: O20190506002814 |
Mailing Address | Practice Location Address |
---|---|
Anthony Shabrack, PMHNP-BC 2077 Excalibur Ln, North Mankato, MN 56003-4423 Ph: (507) 720-3777 | Anthony Shabrack, PMHNP-BC 100 Freeman Dr, Saint Peter, MN 56082-3504 Ph: (507) 985-2035 |
Carly Behnke, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Freeman Dr, Saint Peter, MN 56082 Phone: 507-985-2832 | |
Mrs. Alexis May Pavey, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Sunrise Dr Ste 200, Saint Peter, MN 56082 Phone: 507-931-2110 | |
Sheila E Anderson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Sunrise Dr Ste 200, Saint Peter, MN 56082 Phone: 507-931-2110 | |
Jacqueline Rose Cooper, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 Klein St, Saint Peter, MN 56082 Phone: 507-933-5001 Fax: 507-934-7043 | |
Malinda Teresa Henderson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Freeman Dr, Saint Peter, MN 56082 Phone: 507-931-7125 Fax: 507-931-7126 | |
Mr. John P. Gemlo, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Freeman Dr, Saint Peter, MN 56082 Phone: 507-985-2357 Fax: 651-431-7657 |